NPIMap

Individual provider Active NPI

Clifford Sebastian, MD

  • Cardiovascular Disease Physician
  • Chester, NJ
National Provider Identifier
1164409538
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA08227500 Issued in NJ
Practice address
415 Route 24
Suite E
Chester, NJ 07930-2920
Phone
(908) 879-1500
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD11951 RI
Cardiovascular Disease Physician 207RC0000X 25MA08227500 NJ Primary

Addresses

Primary practice location

415 Route 24
Suite E
Chester, NJ 07930-2920

Mailing address

415 Route 24
Suite E
Chester, NJ 07930-2920
Phone (908) 879-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070910000623 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4981797727 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Albany Medical College of Union University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Cardiology LLCGroup PAC ID 5597751735, 29 clinicians

Practice addresses (Care Compare)

415 Route 24
Suite E
Chester, NJ 07930-2920
Phone (908) 879-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as group
Quality
78.12
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD11951RIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiology, LLC Cardiovascular Disease CurrentSince Jun 1, 2025 Accepting new patients
Marc Feingold MD LLC Current Accepting new patients
Lawrence C. Antonucci MD LLC Cardiovascular Disease CurrentSince Jul 23, 2007 Accepting new patients
Consensus Medical Group LLC CurrentSince Sep 30, 2019 Accepting new patients
CMG Medical Group I LLC Past Accepting new patients
Cardiovascular Health Consultants, P.a. Past Accepting new patients

Locations

65 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (908) 979-1302

415 State Route 24
Chester, NJ 07930
Phone (908) 279-2707

415 Route 24
Ste E
Chester, NJ 07930
Phone (908) 879-1500

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

420 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-8008

21 Perry St
Ste 1
Morristown, NJ 07960
Phone (973) 285-9300

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1164409538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ROUTE 24",
            "address_2": "SUITE E",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302920",
            "telephone_number": "908-879-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ROUTE 24",
            "address_2": "SUITE E",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302920",
            "telephone_number": "908-879-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "CLIFFORD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD11951",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08227500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, NJ

Sources for this page

Verify at the official NPI Registry.